Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter M - MENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
Division 1 - GENERAL PROVISIONS
Section 354.2605 - Fair Hearings and Appeal Processes

(a) A Medicaid eligible individual whose request for services is denied or is not acted upon with reasonable promptness, or whose services are terminated, suspended, or reduced, is entitled to an HHSC fair hearing per Chapter 357, Subchapter A, of this title (relating to Uniform Fair Hearing Rules).

(b) An individual receiving services through enrollment in a managed care organization may also appeal with the managed care organization per § RSA 353.415 of this title (relating to Member Complaint and Appeal Procedures).